| Willow Tree Life Counseling Llc | |
|
10830 Meadow Lake Dr Indianapolis IN 46229-3500 | |
| (317) 902-6724 | |
| Not Available |
| Full Name | Willow Tree Life Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10830 Meadow Lake Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | Gerardine Maria Waggle (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 3179026724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Life Counseling Llc 5660 Caito Dr Ste 122 Indianapolis IN 46226-1364 Ph: (317) 902-6724 | Willow Tree Life Counseling Llc 10830 Meadow Lake Dr Indianapolis IN 46229-3500 Ph: (317) 902-6724 |
| NPI Number | 1518350370 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 03/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518350370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34005160A (Indiana) | Primary |
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